Mikayla Jayne Altintas

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

098709 Issued in NY

Practice address

514 Venetian Blvd
Lindenhurst, NY 11757-6330

Phone

(631) 620-4662

NPI assigned

Jun 29, 2020

Last updated

Oct 25, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Counseling LCSW, PLLC

  • Clinical Social Worker
  • Bayside, NY
  • NPI 1982798773
  Medicare reassignment NPD
• Long Island Psychotherapy Services LCSW PLLC

  • Clinical Social Worker
  • Lindenhurst, NY
  • NPI 1982536637
  NPD Authorized official
• Mikayla J Altintas

  • Mental Health Counselor
  • Lindenhurst, NY
  • NPI 1295541308
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1265059919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 VENETIAN BLVD",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576330",
            "telephone_number": "631-620-4662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 VENETIAN BLVD",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117576330",
            "telephone_number": "631-620-4662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALTINTAS",
        "first_name": "MIKAYLA",
        "middle_name": "JAYNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-29",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103385",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Choa, M.D.
• Jennifer Lee Allen
• Marisa Allen
• Alexander Almendras, PHYSICAL THERAPIST A
• Tina Alongi
• Vincent G Amato, LMHC
• April Helen Anderson, L. AC., L.M.T.
• Andrea Quintana DO PC (Quintana Family Medical)
• Anil Patil, MD PC
• Kyle Robert Ansbach

• Clinical Social Worker in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.